As of the July, 2022, release via CMS

PRINCETON BAPTIST MEDICAL CENTER

CMS id: 010103
701 PRINCETON AVE SW, BIRMINGHAM AL 35211. County: JEFFERSON
System: TENET HEALTHCARE CORPORATION
CBSA: Birmingham-Hoover, AL

The 303-bed, acute-care hospital had $16,906,128 in net service to patients*, with a total profit margin of 11.86559% in fiscal year 2021, the latest year available.
It spent 7.36% of its operating expenses on uncompensated care and reported $0 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	forprofit
Acute beds Median	221 118	222 118	222 119.5	216 118	216 119
Total beds Median	308 162	309 162	309 162	303 162	303 163.5
FTEs Median	1,105.00 788.06	1,123.00 793.42	1,114.00 806.03	901.00 787.61	811.00 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	249,834,757 150,932,746	258,997,011 158,950,878	240,738,041 168,696,998	215,874,033 163,454,693	229,025,103 186,589,412
Operating expenses Median	234,638,620 149,311,209	245,320,413 156,110,414	229,811,787 164,890,568	211,075,663 166,516,854	212,118,975 180,120,888
Net income from service 2 patients (NS2P) ? Median	15,196,137 -964,173	13,676,598 -643,601.5	10,926,254 -116,254	4,798,370 -5,025,862	16,906,128 -1,284,564
NS2P margin ? Median	6.08% -0.62	5.28% -0.29	4.54% 0.18	2.22% -5.07	7.38% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PRINCETON BAPTIST MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	5,246,583 5,089,215	5,991,852 4,572,541	6,033,769 5,268,134	18,650,936 13,092,619	11,651,574 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,162,386 224,999	1,179,943 199,009	1,311,819 206,870.5	1,188,265 194,343	1,382,859 249,496
⊳ Line 7: Investments ? ⊳ Median	22,236 299,524	80,635 188,688.5	28,402 370,813	10,854 309,361.5	116,531 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	263,941	5--2,484	47--,846	199,--09	312,935
⊳ Line 10: Purchase discounts	10,564	29,723	1,312	8,275	3,243
⊳ Line 11: Rebates and refunds of expenses	113,433	145,751	398,531	465,050	305,448
⊳ Line 12: Parking lot receipts	529,176	120,048	113,300	101,263	89,626
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,068,617	1,023,305	1,089,414	99,713	0
⊳ Line 15: Revenue from rental of living quarters	1,047,786	1,142,839	1,090,824	824,616	717,607
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	9,034	10,056	9,187	14,041	28,177
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	417,022	912,091	931,259	714,887	1,052,716
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	602,388	844,977	588,875	15,024,963	7,642,432
Total income ? Median	20,442,720 6,586,430	19,668,450 6,767,106	16,960,023 8,419,950	23,449,306 8,094,175	28,557,702 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	20,442,720 6,043,842	19,668,450 5,845,112	16,960,023 7,606,259	23,449,306 7,283,041	28,557,702 14,957,241
Net margin Median	8.01420% 4.62%	7.42237% 4.42%	6.87276% 5.16%	9.99864% 5.2%	11.86559% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for PRINCETON BAPTIST MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	64,212,724 23,241,334	64,931,768 23,709,545	53,586,959 24,248,380	46,477,552 22,858,541	41,357,800 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	61,658,121 21,577,146	62,965,511 22,041,594	51,782,537 22,722,063	44,511,733 21,570,441	39,954,842 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	2,554,603 1,845,420	1,966,257 1,757,392	1,804,422 1,738,842	1,965,819 1,510,463	1,402,958 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	16,766,638 11,160,864	16,871,096 11,987,345	14,944,240 12,926,866	10,894,906 11,884,480	10,412,151 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	16,766,638 10,918,923	16,871,096 11,706,976	14,944,240 12,615,917	10,894,906 11,458,116	10,412,151 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	8,489,178 3,284,314	8,509,474 3,250,551	7,664,977 3,386,837	7,417,499 3,360,806	7,142,709 3,508,953
Disproportionate-share hospital (DSH) Median	996,754 594,888	1,152,565 595,761	976,295 577,894	772,031 542,168	638,394 549,667
Outlier Median	1,472,286 582,572	1,547,692 538,116	85,881 212,434	72,259 126,559	42,171 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	100,004 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	12,202,132 2,654,636	18,320,141 2,940,659	18,418,865 3,380,215	12,548,571 3,488,738	14,348,437 3,233,405
Uncompensated care (UCC) Median	13,480,749 5,147,790	19,663,418 5,337,617	19,725,298 5,711,082	13,780,577 5,923,418	15,616,110 5,508,107
UCC as a % of operating expenses Median	5.75% 3.24	8.02% 3.12	8.58% 3.21	6.53% 3.3	7.36% 2.86
Total shortfall/UCC Median	13,480,749 9,489,989	19,763,422 9,424,297	19,725,298 10,120,158	13,780,577 11,171,337	15,616,110 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	69,373,336 52,142,039	74,805,252 54,485,252	74,338,236 57,395,589	65,308,635 58,830,919	68,904,142 61,722,907
Salaries as a % of operating expenses Median	29.51 36.68	30.49 36.56	32.35 36.37	30.96 35.93	32.46 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	3,105,913 1,251,927	3,312,940 1,186,494	3,450,913 1,204,885	3,444,465 1,279,653	3,456,166 1,469,317
Contract adjusted salaries, direct-care Median	6,937,789 1,449,244	5,990,191 1,475,986	4,535,750 1,563,078	3,997,202 1,721,954	7,368,229 2,991,828
Contract hours, direct-care Median	171,005.00 22,725	153,705.00 23,018.5	130,995.00 24,503.48	118,409.00 25,026.5	156,124.00 33,786
Contract wages, direct-care Median	40.57 64.67	38.97 64.53	34.63 65.06	33.76 68.97	47.19 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.